36A79719Q0013-010.pdf

Line # Description Qty

Azurion 7 C20 11 Advanced solution for vascular, non-vascular, embolization to interventional oncology procedures Key benefits

• Optimized utilization of your lab by procedure based workflow

• Superb image quality to evaluate small details and vessels with clarity.

• Intuitive user interaction delivering an easy to use, easy to learn system

Changing interventions With our Live Image Guidance we aim to remove barriers to safer, effective and reproducible treatments, delivering clinical value where it’s needed most - at the point of patient treatment.

Intelligent and intuitive integration of live imaging, patient information, and procedure-based applications optimize real time therapy guidance.

The 7 series C20 ceiling system is designed to enhance all the different procedures your interventional lab faces, from vascular, non-vascular and embolization to interventional oncology procedures. This future proof solution is designed around a single, standardized hardware and software platform that can be upgraded and expanded as new needs arise or requirements change. Its architecture is made to easily integrate with third party applications and devices. A new workflow approach aims to support interventional teams in carrying out procedures for their patients, consistently and efficiently with great ease of use.

The Philips Azurion 7 C20 uses a range of Procedure Cards to help optimize and standardize system set-up for your cases, from routine to mixed procedures.

Procedure Cards can increase the consistency of exams by offering presets (e.g. most-frequently used, default protocols and user-specified settings) on procedure-, physician- or departmental level. In addition, hospital checklists and/or protocols can be uploaded into the Procedure Cards to help safeguard the consistency of interventional procedures and help to minimize preparation errors.

The Philips Azurion 7 C20 interventional X-ray suite has been specifically designed to save time by enabling the interventional team to work on all activities in the exam room - and at one or more work spots in the control room at the same time - without interrupting each other. This leads to higher throughput and faster exam turnover and contributes to quality of care.

To improve dose management, Philips Zero dose positioning enables you to move the stand and table to the region of interest shown on the last clinical image hold before a new acquisition is started, without any radiation.

Specifications The Philips Azurion series contain a number of features to support a flexible and patient centric procedural workflow.

The Philips Azurion series (within the limits of the used Operating Room table) are intended for use to perform:

• Image guidance in diagnostic, interventional and minimally invasive surgery procedures for the following clinical application areas: vascular, non-vascular, cardiovascular and neuro procedures.

REQUESTING SERVICE: IMAGING SERVICEC114)

SHIP TO: WAREHOUSE B81004

LOUIS A JOHNSON VAMC

1 MED CENTER DR

CLARKSBURG. WV 26301-4199

P.O.# 540-B81004

The system will be required to fit in the floor plan listed below. The system is required to have minimal Extended Installation cost.

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• Cardiac imaging applications including diagnostics, interventional and minimally invasive surgery procedures.

The Philips Azurion 7 C20 system comprises five functional building blocks:

1. Geometry

2. X-ray Generation

3. Image Detection

4. User Interface

5. Viewing Each functional building block is explained in further detail including accessories.

1. Geometry A. 7 C20 stand The Philips Azurion 7 C20 stand is a stable assembly of a C-arm and a ceiling suspended L-arm.

The X-ray tube and the flat detector are integrated into the C-arm. This provides a compact assembly completely free from the floor, with maximal positioning flexibility and unrestricted access to the patient. The robust design ensures excellent reproducibility of projections, needed in for example subtracted imaging procedures and advanced 3D imaging. The L-arm can be rotated and moved in longitudinal direction allowing a three-sided patient approach and total body coverage.

- L-arm rotation around the patient table: +90, 0, -90 degrees.

- L-arm longitudinal movement: 300 cm This movement features auto-stops at the parking position, cardio/neuro position and lower peripheral position.

B. Patient Support The patient support provides very light manual float movement, even for heavy patients, thanks to the mono-bearing technology. The long flat carbon fiber tabletop provides ample space to place e.g. catheters and endovascular tools. On customer request, the standard table top can be replaced by a table top for neuro procedures. This table top has a smaller width at the head end for better imaging results in neuro procedures.

• Table top length of 319 cm, width 50 cm (neuro table top is 45cm at head end)

• Metal-free cantilever 125 cm

• Floating table-top movement of 120 cm longitudinal and +/- 18 cm transversal

• Motorized height adjustment range is 74 -102 cm cm for a table without swivel nor cradle/tilt.

• Maximum cantilever of 223 cm , for full patient coverage

• Table tilt +17 /-17 degrees (optional)

• Table cradle +15 / -15 degrees (optional)

• Pivot range 270 degrees ( -90 to +180 or +90 to -180 degrees), table can be locked at any position and has stops at 0, +/-13, +/- 90 and +/- 180 (optional)

• Table swivel, 78.2 cm longitudinal displacement, motorized (optional).

• Maximum load: 275 kg (up to 250 kg patient weight plus 25kg accessories or 225kg patient weight plus 50kg accessories) plus 500 N for CPR in any longitudinal position of the table top

The UIM modules are not accessories; make consistent with "AD7 accessories Cardiac" The Philips Azurion system can be fitted with a comprehensive set of accessories to help you perform your procedures as conveniently as possible. Included are

• 1 cerebral filter

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• 3 rail accessory clamps

• 1 drip stand

• 1 Set of Elbow Supports

• 1 Set of patient Straps

• 1 Arm Support Board

• 1 Head Support

• 1 Mattress

The mattress is a slow recovery foam mattress with a density of 58 kg/m3. The mattress has a thickness of 7 cm and adapts to the body shape of the patient. It makes the pressure being divided equally and it recovers when the patient is taken off the mattress. The light yellow cover is easy to clean. Patients are more relaxed due to the comfort of this mattress.

2. X-ray Generation A. Generator

The 7 C20 system comprises an integrated, micro-processor controlled Certeray generator based on high frequency converter technique. The user interface control of this X-ray Generator is incorporated in the touch screen module, review module, and the on-screen displays. The Certeray generator comprises:

• X-ray generator 100 kW

• Voltage range is 40 - 125 kV

• Maximum current 1000 mA at 100 kV

• Maximum continuous power for fluoroscopy: 1.5 kW

Program selection:

• Pulsed X-ray up to 3.75 , 7.5 , 15 , 30, 60(optional) frames/s for digital dynamic exposures

• Frame rate extension to 30 frames per second.

Designed to enhance visualization of complex and pediatric interventions Frame rate extension to 30Fr/sec increases the system acquisition speed up to 30 frames per second for cardio studies requiring high speed imaging.

Specifications

The frame rate extension increases the acquisition speed to 15fps and 30fps with a 1024x1024 matrix.

• Pulsed X-ray for pulsed fluoroscopy (3.75 , 7.5 , 15 , 25, 30 frames/s).

• Minimum exposure time of 1 ms

• ECG triggered acquisition: allows acquiring one exposure for each QRS peak with selectable delay time

• Automatic kV and mA control for excellent image quality prior to run to save dose

• X-ray tube load incorporated in the Certeray generator

• Pulsed X-ray for (subtracted) acquisition up to 12 frames/s for vascular applications

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B. X-ray tube The 7 C20 system has the Maximus ROTALIX Ceramic grid switch tube assembly MRC200+ GS 0407 integrated.

The MRC 200+ GS 04 07 tube assembly and cooling unit CU 3101 for cardiovascular systems comprises:

• 0.4/0.7 mm nominal focal spot values maximal 30 and 65 kW short time load

• Grid switching at pulsed fluoroscopy and low load exposure (to eliminate soft radiation and improve image quality)

• Continuous loadability: 3400 W (at 21 degrees C room temperature) / 4000 W (= Max assembly continuous heat dissipation)

• Application of SpectraBeam dose management

• Tube housing is oil cooled with thermal safety switch

• Maximum anode cooling rate of 1820 kHU/min

• Anode heat storage capacity of 6.4 [MHUeff]

C. System intrinsic

• Fully digital imaging chain in maximizing the utilization and technology of the x-ray generator, x-ray tube, flat detector and image processing.

• Customizable EPX protocols to each application according to user preferences for different composition of dose rate, pulse speed, filter setting, and image processing (noise reduction, adaptive contour enhancement, adaptive harmonization)

• Built-in SpectraBeam filtering of low energy radiation to improve image quality and dose efficiency with MRC200+ X-ray tubes.

• Pre-filters of 0.2, 0.5 and 1.0 mm CU equivalent

• Automatic cardiac wedge positioning

• X-ray depth collimator with single semi-transparent wedge filter with manual and automatic positioning.

• Xper Beam Shaping, which means that both shutters and wedges can be positioned on the

Last image Hold without the need for X-ray radiation.

• Xper Fluoro Storage, a grab function allows storage and archiving of both a fluoro image or the last 20 seconds of fluoroscopy run. These images or runs can be archived and reviewed as a regular run.

D. User selections

• removable anti-scatter grid to lower x-ray dose for pediatrics (grid ratio 13:1)

• ECG triggered acquisition, offering the possibility to acquire images at the same phase of the heart cycle. This applies to the low dose fluoro and exposure program for EP applications. This allows patient dose reduction by lowering the pulse rate to 1 pulse per heart and let the physician still focus on relevant items

• three programmable fluoroscopy modes can be selected from the control module. Each mode has a different composition of dose rate, pulse speed, filter setting, and image processing (noise reduction, adaptive contour enhancement, and adaptive harmonization)

Roadmap Pro can be selected from the control module.

In the first Roadmap phase a vessel map is created by live fluoroscopy or by selecting an exposure image (SmartMask) with a vessel map which, in the second Roadmap phase, is superimposed with subtracted live fluoroscopy.

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Roadmap Pro features Smart Settings in special clinical modes that are optimized to visualize special materials such as coils and glue.

• Acquisition runs can be done without losing the vessel map of Roadmap Pro.

• Live processing of the vessel map, the device map and the landmark map can be done on the touch screen module.

• Field of View (FoV) can be altered during the second phase.

• Xres for vascular procedures is standard part of Roadmap Pro.

In Roadmap Pro "Automatic Motion Compensation" (AMC) is added to the roadmap functionality.

During roadmap, small movements of the patient can lead to subtraction artifacts. These artifacts might conceal important clinical information. "Automatic Motion Compensation" compensates for rigid, uniform (skeletal/table) translations and is therefore very effective in interventional (neurology) applications where subtraction imaging is applied. Disclaimer: AMC only corrects movement artifacts in 2 dimensions. 3 dimensional movements like swallowing or rotation of the head cannot be corrected.

E. User dose awareness

DoseWise program: Philips DoseWise program is a set of techniques, programs and practices built into the X-ray system that ensures excellent image quality during each interventional application, while at the same time reducing x-ray dose at every opportunity. The DoseWise comprises of three building blocks to help reduce x-ray dose without compromising diagnostic quality: system intrinsic, user selection and awareness.

On-system monitor display provides and displays body zone specific Air Kerma data (10 zones for cardiac applications) in numeric and graphical bars.

• Graph displays the accumulated Air Kerma dose for the particular body zone of the actual projection

• When the accumulated Air Kerma dose of the particular body zone reaches the critical skin dose level of 2 Gy, it will be indicated on the display and made visible to the x-ray operator.

Radiation Dose Structured Report Collection of dose relevant parameters and settings and export to a DICOM database (e.g. PACS) (dose information is sent in MPPS message not as Radiation Dose Structure report), according IEC60601-2-43, 2nd Edition. The reported data can be used for, for example:

• Quality improvement: evaluating trends in X-ray dose performance per facility, system and operator. RDSR enables analysis of average dose levels & variance for routinely performed exams and procedures. Also, typical system usage can be extracted from the data, helping to identify root causes behind deviations and measures to improve.

• Analysis of individual patient cases: using dose levels and system usage per procedure

• Alerting for high dose cases, timely identifying patients at risk or deterministic effects, for proper follow-up.

Secondary Capture Dose Report The Secondary Capture Dose Report function allows the user to save & transfer, manually or automatically, a patient Dose Report to PACS in DICOM secondary capture format.

The dose report will be stored in the related patient image folder.

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3. Image Detection The system has a 20 inch flat panel image detector. This detector can be rotated over 90 degrees from portrait to landscape and vice versa.

The image chain with the 20 inch flat panel image detector comprises the following:

• A 30 cm by 40 cm (20 in.) diagonal 8 mode Dynamic Flat Detector subsystem for fluoroscopy and cine-fluorography.

• 8 modes 30*38/30*30/26*26/22*22/19*19/16*16/13.5*13.5/11*11 cm, Dynamic Flat Detector

• The outer detector physical housing is 36 x 47.2 cm

• The digital output of the Flat detector is 1904*2586 pixels at 16 bit depth.

• The pixel pitch is 154 micron by 154 micron

• The DQE(0) is >77% providing high conversion of X-ray into a digital image, while maintaining a high MTF.

Philips Azurion offers a storage capacity of (optionally extendable) of 50,000 images at matrix size of 1024 x 1024, in 8 or 10 bit depth. With a matrix size of 2048 x 2048 this is 12,500 images.

Maximum number of examinations is 999, with no limit to the maximum number of images per examination.

Xres is a multi-resolution spatial temporal noise reduction and edge enhancement filter for interventional applications. Xres exploits the full benefits of dynamic digital flat detector imaging to enhance sharpness and contrast and has been designed to reduce noise in fluoroscopy and exposure runs. The settings for Xres Cardio can be customized to improve image quality. Xres is a Philips unique image processing algorithm developed at Philips Research for medical applications.

Xres is us ed with Philips MR and US scanners next to Philips Azurion systems.

4. User Interface User Interface in Examination Room The User Interface comprises a variety of User Interface modules in the Examination Room. There is the On-Screen Display, the touch screen module, Viewpad and the control modules.

The On-Screen Display is positioned on the left side of the live/ref monitor. The following system information is displayed:

• X-ray indicator

• X-ray tube temperature condition

• Gantry position in rotation and angulation

• Source Image Distance

• Table height

• Table top tilt and cradle angle, if applicable

• Detector field size display

• General System messages

• Selected Frame speed

• Fluoroscopy mode

• Integrated fluoroscopy time

• Skin Dose: dose rate during X-ray, cumulated dose when no X-ray

• Dose Area Product: dose rate during X-ray, cumulated dose when no X-ray

• Graphical bars for Body Zone specific dose-rate and accumulated skin dose levels, related to the 2 Gy level (for cardiac applications

• Stopwatch

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The pan handle is an extension of the control possibilities for floating movements of the table top in cardio vascular and neuro systems

Key benefits

• Flexible positioning during cardio and neuro procedures

• Flexible positioning during cardio and neuro procedures

To allow more flexible positioning during cardio and neuro procedures, the pan handle option can be used to perform floating table movements. The pan handle provides a solid grip of the tabletop and can release and apply the tabletop brakes. It can be attached anywhere along the tabletop and accessory rails without affecting the floating range.

Specifications

Pan handle with cable and connector Table-top attachment clamp Accessory-rail attachment clamp Touch screen module

The touch screen module is provided for use at either the tableside or in the control room.

Optionally, it is possible to connect in parallel up to three touch screen modules on the system.

The touch screen module has a touch screen, which can be operated when covered with sterile covers. The touch screen module allows control of (depending on configuration):

• 3rd party equipment (e.g. CX50, Interventional Tools, EchoNavigator, DoseAware)

• Monitor layout (FlexVision, switchable viewing)

• X-Ray settings (Collimation, Projections, Table, Series and Processing)

• Quantitative Analysis (optional) User can only start QA from the touch screen module. No controls like coronary analysis, left ventricular and vessel analysis can be performed on the touch screen module.

- Operation of Xcelera, XperIM and IntelliSpace Portal viewing (optional)

• Operation of CX50 Ultrasound (optional)

2nd Touch Screen Module

Key Benefits

• Control system operations with a second touch screen module

Tablet-like touch screen control During an intervention flexible control of applications and system operations can support fast decisions and communication with team members. The touch screen module provides fast, tablet-like touch response to control system operations. Up to three touch screen modules can be connected to the X-ray system: on the table, on the pedestal and in the control room.

Specifications

The second touch screen module is similar to the standard touch screen module and provides touch screen control of displayed functionality. The following functions can be made available providing the relevant commercial options have been selected:

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• Acquisition settings

• Image processing controls

• Channel selection for MultiVision

• Automatic position control (optional)

• Quantitative Analysis controls (optional)

• Xcelera and IntelliSpace Portal viewing (optional)

• Interventional tool controls (optional)

• 3D-RA, Dynamic 3D Roadmap (optional)

• StentBoost, 3D-CA (optional)

• XperCT, XperGuide (optional)

• XIM physio monitoring controls (optional)

Connectivity:

A maximum of 3 touch screen modules can be connected to the X-ray system:

• One touch screen module on the table

• One touch screen module in the Control Room

• One touch screen module on the pedestal

Viewpad The Viewpad contains the preprogrammed function settings. The system is provided with two Viewpads. The following functions are provided:

• Run and image selection

• File and run cycle

• File overview

• Store to Reference image file

• Copy image to photo file

• Digital (fixed) zoom and panning

• Recall reference images, which means switching control of Viewpad function from life to reference monitor

• Laser pointer, intended to point at regions of interest on the image monitors

• LED indication of laser pointer on/off and battery low

• Subtraction on/off

• Remasking

• Landmarking

• Access flat detector rotation

User Interface in Control Room The control room comprises a review module, data color monitor and review monitor. The data and review functions are controlled by a single keyboard and mouse. The review module offers the basic functions for review. The most prominent functions can be controlled by the push of a button. The review module comprises the following functionality:

• Power on/off

• File and run cycle

• File, Run, and Image stepping

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• Run and file overview

• Reset fluoroscopy timer

• Enable/disable X-ray

• Geo disable

Acquisition monitor. A standard keyboard and mouse control the user interface. The acquisition monitor is intended to follow live case in the ER. System information is displayed on the bottom of the monitor:

• Stopwatch and Time

• System guidance information

• Dose Area Product (DAP) and Skin Dose, as dose rate during X-ray and cumulative dose at no X-ray

• Frame speed settings, fluoroscopy mode, and accumulated Fluoroscopy time

• Exposure and fluoroscopy settings as Voltage (kV), Current (mA) and time (ms)

• Geometry information as rotation, angulation, and SID

The acquisition monitor is designed for standard workflow based on scheduling, preparation, acquisition, review, report, and archive.

Scheduling In the scheduling page it is possible to add new patients (either querying from RIS/CIS or by creating patient locally). The patients can be listed and selected per date, physician, and intervention type. Previous DICOM patient studies can be uploaded with the DICOM Query Retrieve function in the Philips Azurion system. Patient management protocols are flexible and allow for multiple studies to be selected under one patient identification number. This means that new studies can be appended to an earlier patient file. Furthermore, each study can contain multiple examinations to allow for split administrative purposes. Each examination contains multiple files, like acquisition file, reference file, and QA results file.

Procedure Cards Procedure Cards provide the information of room and patient preparation for each individual physician. Procedure Cards are customizable per setting and allow each physician to provide their own room protocols. Procedure Cards is intended to make hard copies of the protocol instructions redundant.

Acquisition The acquisition page contains information on the currently selected patient.

Reviewing The review page allows for reviewing of patients:

• Previous examination cases

• Review of other DICOM XA or DICOM SC studies.

Quantitative Vascular Analysis

Key benefits

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• Allows quantitative assessment of different size vessels such as aortic and peripheral

• Aids confident decision making for device selection, approach angles and follow-up

• Designed for efficiency with single click functions and fast results

Easily obtain objective assessment of aortic and peripheral vasculature to support decision making and allow quantitative assessment of vasculature during vascular interventions, the 2D quantitative vascular analysis option supports quantification such as aortic and peripheral artery dimensions of about 5 to 50 mm from 2D angiographic images. With one click, the relevant segment is detected and a visualization of the obstruction, healthy vessel, reference diameter, stenosis diameter and plaque area is created.

Specifications:

• Automated vessel segmentation

• Diameter measurement along selected segment

• Automated obstruction analysis

• Stenosis diameter, stenosis length

• % stenosis diameter, % stenosis area

• Automated and manual calibration routines

• Store result page

Analysis of the targeted vessel segment has been simplified with the single click function. Position the mouse on or close to the stenotic area and click once to detect the relevant segment. The visualization shows the obstruction, healthy vessel, reference diameter, stenosis diameter and plaque area.

Archiving Clinical studies can be archived to a CD/DVD, USB or a PACS. The archive process can be completely automated and customized with settings. Parameters like multiple destinations, archive formats can be selected to the individual needs and wishes for programming under the settings.

With Philips Azurion the control room comprises of an acquisition monitor and a review monitor. The review monitor is a 24 inch color TFT-LCD medical grade monitor.

The Graphical User Interface on the Review monitor has the following features and possibilities:

• Step through file, run, or images

• File, and run overview

• Contrast, brightness, and edge enhancement settings

• Flagging of runs or images for transfer

• Applying text annotation in images

• DICOM printing if available

• Executing Quantitative Analysis Packages if available

• Subtraction functionality if available

This system is delivered with printed instructions for use and/or electronic instructions for use, as well as a quick start leaflet. A printed paper instructions for use can also be ordered at no additional cost.

5. Viewing A. Viewing in Examination room

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Philips Azurion systems come with one 27 inch high brightness color medical grade LCD monitor for clinical image display in the Examination room. This LCD monitor is intended for viewing in the examination room and is designed for medical applications. The monitors is used for combined viewing of live images and reference display. Selection and storing of live to reference monitor is controlled by the infra-red remote-control viewpad or via touch screen module.

The On-Screen Display provides status information on stand rotation-angulation, table height, display of system messages, X-ray tube load status, selected fluoroscopy mode, selected detector Field of View, and both the rate and accumulation of the dose area product and Air Kerma dose.

The main characteristics are:

• 27 inch high brightness color TFT-LCD display

• Native format 1920x1080 Full HD

• 10 bit gray-scale resolution with gray-scale correction

• Wide viewing angle (approx. 178 degrees)

• High brightness (max 650 Cd/m2, default 400 Cd/m2)

• Long term luminance stability through backlight stabilization circuit

• Automatic brightness control with backlight sensor

• Control functions on side

• User programmable and standard reference setting

• On-Screen Display

• Internal selectable lookup table for gray-scale transfer function, including DICOM

• Internal power supply (100-240 VAC)

• Integrated LCD protection screen

If applicable included is a flat monitor ceiling suspension for 2 monitors (2F MCS). MCS includes motorized height adjustment. The ceiling suspension allows flexible monitor positioning over a range of about 360 x 300 cm. At customer request, this 2 monitor MCS can be replaced by a 4 or 6 fold MCS or an MCS integration kit HD for non-Philips MCS. The MCS integration kit HD contains vital parts for system operation.

B. Viewing in Control room Philips Azurion includes two 24 inch high brightness color LCD monitors. The color monitors are for acquisition and reviewing display.

The main characteristics for color monitor are:

• 24 inch color TFT-LCD display

• Native format 1920x1080 Full HD

• High brightness (max 400 Cd/m2, default 350 Cd/m2)

• Wide viewing angle (approx. 178 degrees)

• Long term luminance stability through backlight stabilization circuit

• Automatic brightness control with backlight sensor

• Control functions on side

• User programmable and standard reference setting

• On-Screen Display

• Internal selectable lookup table for gray-scale transfer function, including DICOM

• Internal power supply (100-240 VAC)Integrated USB hub

A Philips Azurion system includes the DICOM Image Interface which enables the export of clinical images to a DICOM destination like a CD-Medical station or a PACS server. The export formats are based on DICOM 3.0 protocols. The system exports clinical studies in Cardiac DICOM XA Multi-Frame or DICOM Secondary Capture formats.

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The DICOM Image Interface transfers through its fast Ethernet link, making images available on-line within seconds. The archive process can be configured by X-ray settings. The images are sent out either in the background, or manually upon completion of the examination. The export format is configurable in 512x512 or 1024x1024 matrix in 8 or 12 bit depth. The examination can be sent to multiple destinations for archiving and reviewing purposes. The DICOM Image Interface provides DICOM Storage and DICOM Storage Commitment Services. The DICOM Query/Retrieve function allows older DICOM XA MF and DICOM SC studies to be uploaded in the system.

Furthermore, additional information can be appended to a study while keeping the patient identification the same.

Remote Intercom for the Azurion System. The option includes a separate intercom, which is connected independently from the system. This allows placement of the intercom at the preferred working position in the control room and examination room. The listen function can be separately selected on each intercom. Activating the talk function on a selected intercom automatically disables this function on the other intercom.

Uninterruptable Power System (UPS) Ensures data integrity A power failure of the hospital mains during an intervention can cause loss of data. If this occurs, the single phase Uninterruptable Power System (UPS) enables a proper shut-down of the X-ray system processor units.

Specifications

In case a full three phase UPS is selected, the single phase UPS is not delivered.

Remote service Access to the system from a Remote location is possible via network or modem connection.

Remote access to a system can shorten the time needed for e.g. changing system settings or problem diagnosis.

Environmental At Philips Healthcare, we feel the responsibility towards society and the environment. The latest 7 C20 system is a perfect example of our EcoVision program. Bye xamining every aspect of the 7 C20 design and development through a green eye, we drastically reduced the products environmental impact.

System & table APC

Helps to save time and manage X-ray dose with automatic positioning

Positioning the X-ray system to visualize relevant anatomy from different perspectives can involve a great deal of time and many scout images during interventional procedures. To help save time and manage X-ray dose while working, the Automatic Position Controller (APC) provides an easy way for interventional team members to store and recall stand-related positions.

Specifications

The system APC stand and table positions need to be stored and recalled separately.

Clinical Education Program for Azurion System:

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The purchase of the Azurion System includes a StartRight entitlement pool that allows for the customized delivery of educational events to improve staff time to proficiency, knowledge on system features, and improve overall lab efficiency. For new users, the recommended series of educational events includes:

Essentials OffSite Education: Philips will provide up to two (2) Cardiovascular Technologists, Registered Technologists, Registered Nurses, or other system operator as selected by customer, with in-depth didactic, tutorial, and hands-on training covering basic functionality and work-flow of the cardiovascular imaging system. In order to provide trainees with the ability to apply all fundamental functioning on their system, and to achieve maximum effectiveness, this class should be attended no earlier than two weeks prior to system installation. This twenty-eight (28) hour class is located in Cleveland, Ohio, and is scheduled based on your equipment configuration and availability. Due to program updates, the number of class hours is subject to change without notice. Customer will be notified of current, total class hours at the time of registration. This class is a prerequisite to your equipment handover OnSite Education. CEU credits may be available for each participant that meets the guidelines provided by Philips. Please refer to guidelines for more information. In the event that an EP Navigator workstation has also been ordered, the offsite training course will be tailored to focus on the electrophysiology functionality of the FD system and the EPN workstation. Travel and lodging are not included, but may be purchased through Philips.

It is highly recommended that 989801292102 (CV Full Travel Pkg OffSite) is purchased with all OffSite courses

Initial Handover OnSite Education: The primary Philips Education Specialists will provide twenty-eight (28) hours of education for up to four (4) students, selected by customer, including technologists from night/weekend shifts if necessary. Students should attend all 28 hours, and must include the two OffSite education attendees. CEU credits may be available for each participant that meets the guidelines provided by Philips. Please refer to guidelines for more information. Note: Site must be patient-ready. Philips personnel are not responsible for actual patient contact or operation of equipment during education sessions except to demonstrate proper equipment operation. It is highly recommended for systems that are fully loaded or for customers with a large number of staff members to also purchase 989801292099 (CV Add OnSite Clin Educ 24h).

FollowUp OnSite Education: Philips Education Specialists will provide sixteen (16) hours of education for up to four (4) students, selected by customer, including technologists from night/weekend shifts if necessary. Students should attend all 16 hours, and must include the two OffSite education attendees. CEU credits may be available for each participant that meets the guidelines provided by Philips. Please refer to guidelines for more information. Note: Site must be patient-ready. Philips personnel are not responsible for actual patient contact or operation of equipment during education sessions except to demonstrate proper equipment operation.

Assessment OnSite Year 1: The primary Philips Education Specialist will perform a two day onsite assessment at the customer site on or close to the first anniversary of the Initial Handover.

The Specialist will assess through various means not limited to; physical observation of procedure workflow, tool usage data analysis and staff interviews. The Specialist will then review findings with department head and make recommendations thereof. The Specialist may perform refresher training if required.

Education expires one (1) year from installation date (or purchase date if sold separately).

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FlexSpot 1 2

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Integrated work spot in the Control Room to view, control and manipulate all applications within a single view

Key benefits

• Access all applications on one compact workplace in the control room

• Set up unlimited custom screen layouts with all relevant information in one view

• Full flexibility of screen layouts (live resize, drag and drop)

• Clutter free and clean control room Simplify control room workflow Typical interventional control rooms are equipped with several workstations and controls to support procedures that require extra handling and space. FlexSpot helps you save time and space in the control room by giving you seamless access to all applications on one compact workplace. Easily set up any screen layout desired with all relevant information in one view.

Resize, drag and drop items just like a tablet.

Specifications FlexSpot offers an integrated workspot in the Control Room with one or more high resolution QHD (2560x1440) displays.

- Show internal video sources (e.g. Review, CR Live)

- Show up to 11 external video sources (e.g. Ultrasound, EchoNav, etc.)

- Video sources can be flexibly displayed on FlexSpot through user customizable presets. Users can customize the displayed layout and assign video sources to viewports as desired

- Up to 4 video sources can be displayed on a single FlexSpot display (excluding the add-on FlexSpot).

- Per display, the user can choose between 7 different layouts (positioning of viewports)

- FlexSpot offers user interaction through a keyboard and mouse with which users can seamlessly control all video sources on screen. Seamless means that users can move out of one viewport and into another without needing to press a special keyboard shortcut or use a gesture.

- In systems with both FlexSpot and FlexVision, FlexSpot offers convenient control access of FlexVision from the primary FlexSpot workspot.

- Users can define their own preset groups and preset names.

- Through field service, users can assign their own custom name and icon to a video source (also applies to FlexVision)

- The X-ray status area with all X-ray details is always visible on the primary display of the primary FlexSpot workspot.

- Up to 3 Philips workstations can be integrated into the technical room. With this, the workstations are powered from the system and are fully integrated into the system. Users do not need to separately power on/off these workstations.

- The snapshot function allows the user to store/save a screen-capture of any image on the FlexSpot as a photo image to the current Acquisition Patient study.

- 27 inch high brightness color LCD monitor for clinical image display in the Control Room.

The main characteristics for color monitor are:

- 27 inch color TFT-LCD display

- Native format 2560x1440 Quad HD

- High brightness (max 500 Cd/m2, default 350 Cd/m2)

- Wide viewing angle (approx. 178 degrees)

- Long term luminance stability through backlight stabilization circuit

- Automatic brightness control with backlight sensor

- Control functions on side

- User programmable and standard reference setting

- On Screen Display

- Internal selectable lookup table for gray-scale transfer function, including DICOM

- Internal power supply (100-240 VAC)

- Integrated USB hub

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VasoCT 1 3 The VasoCT interventional tool helps to visualize sub-millimeter sized vascular anatomy and endovascular material during neuroradiology interventions

Key benefits

• Enhances visualization of endovascular devices (stents, flow diverters etc.) and vessel morphology down to perforator level.

• Allows visualization beyond the clot with peri-procedural imaging of the distal vessel aspects in ischemic stroke.

Reveal hidden complexities The ability to visualize sub-millimeter sized vascular anatomy and endovascular material during neuroradiology interventions enhances the clinician’s ability to judge the chances of success and raises their treatment confidence. The VasoCT interventional tool was designed to meet these requirements and to help clinicians further enhance clinical outcomes, and reduce procedural complications and patient trauma.

This novel interventional acquisition technique provides high-resolution 3D imaging that reveals key information about cerebral vascular structures to support the spatial assessment of vessels in the soft tissue context. It is designed to increase the confidence with which clinicians plan, perform, and follow-up on various endovascular neuro procedures. Three protocols are provided to enhance visualization of different devices and pathology: high resolution VasoCT, intra-arterial enhanced VasoCT, and intra-venous enhanced VasoCT.

Specifications VasoCT is available for X-ray systems with an FD20 detector on the frontal Arc.

The VasoCT package contains everything that is needed for to perform VasoCT imaging such as:

• VasoCT software package

• Instruction video

• Instructions for Use

VesselNavigator 1 4 VesselNavigator Reduce your need for contrast in complex endovascular procedures

VesselNavigator allows reuse of 3D vascular anatomical information from existing CTA and MRA datasets as a 3D roadmap overlay on live X-ray images. With its sophisticated visualization, it provides an intuitive and continuous 3D roadmap to guide you through vasculature during the entire procedure. This reduces the need for a contrast enhanced run to create a conventional roadmap and potentially shortens procedure times.

The essential components of VesselNavigator are:

• 3D roadmap navigation with a personalized visualization of a CT or MR overlay of the selected vasculature on live fluoro.

• Both 2D and 3D registration for CT or MR image fusion, allowing to choose the optimal registration method for the user’s workflow

• Easy, intuitive four step workflow, with one click vessel segmentation

• Ring markers to easily indicate the ostia and landing zones.

VesselNavigator can be used for any type of endovascular procedure, except for coronaries and intracranial vessels. It is especially beneficial for complex and tortuous vasculature where it is challenging to accurately navigate and place stents or for procedures where contrast use should be minimized.

VesselNavigator provides the following functions:

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One click vessel segmentation; the user can select the relevant vessels for the overlay in the CT or MR volume in one click

3D landmarks. In the planning step the user can place ring markers for denoting ostia or landing zones and markers for denoting specific structures like calcifications Plan angles; VesselNavigator provides three dimensional views of vasculature that allow you to easily define the right projection angle. These angles can be recalled during the procedure for optimal navigation and stent placement.

2D registration; The CT or MR volume needs to be matched with the X-ray image for continuous live overlay. This can be performed with 2 X-ray images from different orientations. Once the 2 images are acquired, the user must manually match the bones on the preoperative scan with the X-ray image.

3D registration; The existing CTA or MRA volume needs to be matched with the X-ray image for continuous live overlay. This can be performed with a rotational angiogram or cone beam CT. The user has to identify 3 identical anatomical points on the rotational scan and the CTA or MRA volume. The software automatically matches the identified points to register the pre-operative scan with the X-ray system.

Live image guidance;…